NPIMap

Organization Active NPI

Beacon Hospice, LLC

Doing business as Beacon Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • South Portland, ME
National Provider Identifier
1437236551
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
38312 Issued in ME
Legal business name
BEACON HOSPICE, LLC
Doing business as
Beacon Hospice, an Amedisys Company
Practice address
40 Atlantic PL Ste 40
South Portland, ME 04106-2316
Phone
(207) 772-0929
Fax
(207) 772-7779
NPI assigned
Nov 1, 2006
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L. Proffitt
Title
President & Ceo
Phone
(617) 639-4092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 36706 ME
Community Based Hospice Care Agency 251G00000X 38312 ME Primary

Addresses

Primary practice location

40 Atlantic PL Ste 40
South Portland, ME 04106-2316

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
431853300MedicaidME

Other names 1

  • Beacon Hospice, an Amedisys Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000018 ME Part A Provider - Hospice 8921058645 Practice locations: South Portland, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437236551. Details of each certification follow.

Hospice certification: CCN 201516

Legal name
BEACON HOSPICE LLC
Doing business as
BEACON HOSPICE, AN AMEDISYS COMPANY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 18, 2001
Last certification
Sep 15, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 15, 2004 in ME
Enrollment address
52 Atlantic PL
Ste B-50
South Portland, ME 04106-2316

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Auburn, ME
    • NPI 1083798938

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Bangor, ME
    • NPI 1245444280

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Portsmouth, NH
    • NPI 1023193703

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Metrowest HomeCare and Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Marlborough, MA
    • NPI 1043335011

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • East Hartford, CT
    • NPI 1134203284

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Leominster, MA
    • NPI 1386839520

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Springfield, MA
    • NPI 1508012204

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • East Providence, RI
    • NPI 1558445569

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Fall River, MA
    • NPI 1932283694

    8921058645

    Same PAC ID

Care Compare: Hospice

Medicare Care Compare
Listed as
Beacon Hospice, an Amedisys CompanyCCN 201516 · All quality measures
Ownership
For-Profit
Certified
Sep 18, 2001
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0996673Beacon Hospice, LLC52 Atlantic Place, Suite B-50, South Portland, ME 04106Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Beacon Hospice LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 Atlantic Pl
Ste 40
South Portland, ME 04106
Phone (207) 772-0929

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Colleen a Wormword Individual W-2 Managing EmployeeAdministrator Jun 8, 2015 100%
Operational/Managerial ControlAdministrator Jun 8, 2015 100%
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Amedisys Ba LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jun 7, 2011 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026
James E Eshleman Individual Contracted Managing EmployeeMD; Feb 27, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beacon Hospice, an Amedisys CompanyEast Hartford, CT, CCN 071537 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 7, 2011
Jun 7, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • East Hartford, CT
    • NPI 1134203284

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1437236551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ATLANTIC PL STE 40",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-772-0929",
            "fax_number": "207-772-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ME",
            "license": "36706",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ME",
            "license": "38312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431853300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hospice, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.